health insurance scheme

Wednesday, August 24, 2005

The Government of India have, in September 2004, introduced a Universal Health Insurance Scheme for families/persons below poverty line. The New Indian Assurance Company Ltd. is implementing this scheme. The scheme has the following features: (i) The scheme covers reimbursement of medical expenses for hospitalization up to Rs.30,000/- on floater basis per family; (ii) Earning head of the family is covered for Rs.25,000/- against death due to accident; (iii) Compensation due to loss of earning @ Rs.50/- per day up to a maximum of 15 days is also admissible under the scheme; (iv) Annual premium under the scheme is fixed at Rs.365/- for individual, Rs.548/- for a family of five and Rs.730/- for a family of seven. Government subsidy is fixed at Rs.200/- for individual, Rs.300/- for a family of five and Rs.400/- for a family of seven. Thus, annual premium payable by BPL, members is Rs.165/-, Rs.248/- and Rs.330/- for individual, for a family of five and for a family of seven respectively; and (v) The policy is available for persons up to 65 years of age.

Giving this information in a written reply to a question in the Lok Sabha today, the Union Health and Family Welfare Minister, Dr. Anbumani Ramadoss further informed the House that during the year 2004-05 and 2005-06 (up to 30.06.2005) details of numbers of policies, families and persons covered under Universal Health Insurance Scheme (UHIS) are as follows:-

Year
No. of Policies
No. of Families
No. of Persons
Premium in Rs. (lakhs)

2004-05
52,772
65,718
6,82,611
2,60,665

2005-06 (up to 30th June)
30,664
34,014
7,19,299
16,66,251



The Minister further added to inform that no such Commission has been constituted for Health Insurance.

EK/BKS/MK.